Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,771.78 / $1,771.78	Facility		$1,400.00	$1,771.78	$1,771.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,691.49 / $1,771.78 / $2,054.67	Professional		$1,691.49	$1,771.78	$2,054.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,862.21 / $2,134.51 / $2,325.58	Facility		$1,862.21	$2,134.51	$2,325.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,067.17 / $2,067.17 / $2,067.17	Professional		$2,067.17	$2,067.17	$2,067.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,998.59 / $1,998.59 / $1,998.59	Facility		$1,998.59	$1,998.59	$1,998.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,669.69 / $2,742.86 / $8,171.25	Professional		$1,669.69	$2,742.86	$8,171.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,484.06 / $2,390.23 / $3,661.96	Professional		$1,484.06	$2,390.23	$3,661.96